Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $5,011.87 / $12,589.25	Facility		$95.50	$5,011.87	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $56.23 / $151.36	Professional		$33.11	$56.23	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $97.72	Professional		$43.65	$43.65	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $416.87 / $812.83	Facility		$323.59	$416.87	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $58.88 / $83.18	Professional		$33.11	$58.88	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $125.89	Professional		$56.23	$87.10	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $66.07 / $371.54	Facility		$39.81	$66.07	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $93.33 / $1,023.29	Professional		$52.48	$93.33	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $134.90	Professional		$74.13	$102.33	$134.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $138.04	Professional		$75.86	$97.72	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,230.27 / $4,466.84	Facility		$380.19	$1,230.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $112.20	Professional		$42.66	$72.44	$112.20